TY - JOUR
T1 - Predictors of failure of intersegmental line creation using bronchoscopic jet ventilation for thoracoscopic pulmonary segmentectomy
AU - Ikeda, Mizuko
AU - Tanabe, Miwako
AU - Fujimoto, Ayumi
AU - Matsuoka, Tomoka
AU - Sumie, Makoto
AU - Yamaura, Ken
N1 - Funding Information:
We thank all of the staff members of the Department of Surgery and Anesthesiology, Hamanomachi Hospital who participated in the procedures of the reported patients.
Publisher Copyright:
© 2021, The Author(s).
PY - 2021/12
Y1 - 2021/12
N2 - Background: During pulmonary segmentectomy, identification of the target segment is essential. We used bronchoscopic jet ventilation (BJV) to delineate the intersegmental plane by selectively sending air into the target segment. The purpose of this study was to investigate the factors associated with BJV failure. Methods: Data were retrospectively collected from 48 patients who underwent pulmonary segmentectomy with BJV between March 2014 and May 2019 at a single center. Data were compared between BJV succeeded cases and failed cases. Results: In 13 cases (27%), BJV were unsuccessful. The Brinkman index was significantly higher in failed cases (962 ± 965 failed vs. 395 ± 415 successful, P = 0.0067). The success rate was significantly lower when BJV was applied to the posterior basal segmental bronchus (B10) (B10: 1/5 (20%) vs others: 34/43 (79%), P = 0.015). Conclusion: Long-term smoking and the bronchus corresponding to the posterior basal segment might make successful performance of BJV difficult.
AB - Background: During pulmonary segmentectomy, identification of the target segment is essential. We used bronchoscopic jet ventilation (BJV) to delineate the intersegmental plane by selectively sending air into the target segment. The purpose of this study was to investigate the factors associated with BJV failure. Methods: Data were retrospectively collected from 48 patients who underwent pulmonary segmentectomy with BJV between March 2014 and May 2019 at a single center. Data were compared between BJV succeeded cases and failed cases. Results: In 13 cases (27%), BJV were unsuccessful. The Brinkman index was significantly higher in failed cases (962 ± 965 failed vs. 395 ± 415 successful, P = 0.0067). The success rate was significantly lower when BJV was applied to the posterior basal segmental bronchus (B10) (B10: 1/5 (20%) vs others: 34/43 (79%), P = 0.015). Conclusion: Long-term smoking and the bronchus corresponding to the posterior basal segment might make successful performance of BJV difficult.
UR - http://www.scopus.com/inward/record.url?scp=85109211844&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=85109211844&partnerID=8YFLogxK
U2 - 10.1186/s40981-021-00457-5
DO - 10.1186/s40981-021-00457-5
M3 - Article
AN - SCOPUS:85109211844
SN - 2363-9024
VL - 7
JO - JA Clinical Reports
JF - JA Clinical Reports
IS - 1
M1 - 53
ER -